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Obligate intracellular parasites are unable to reproduce outside a host cell; most have lost the ability to synthesize substances needed for extracellular growth. Species of Rickettsia, Orientia, and Ehrlichia are tiny Gramnegative rods that are spread when a blood-sucking arthropod transfers bacteria during a blood meal. Coxiella burnetii is a Gram-negative rod that survives well outside the host due to the production of sporelike structures. (Figure 11.29)

Chlamydia species are transmitted directly from person to person. (Figure 11.30)

How To Cure Yeast Infection

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